NPI | 1003969494 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS MICHAEL O'DONNELL President 563-585-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06694) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-08-22 |